Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $802.08 / $2,318.00 / $11,093.00	Facility		$802.08	$2,318.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $797.69 / $802.08 / $1,038.58	Professional		$797.69	$802.08	$1,038.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,309.00 / $6,474.00 / $13,810.27	Facility		$3,309.00	$6,474.00	$13,810.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $853.28 / $1,066.59 / $1,491.66	Professional		$853.28	$1,066.59	$1,491.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $760.75 / $969.58 / $1,118.75	Facility		$760.75	$969.58	$1,118.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $745.83 / $857.70 / $1,118.75	Professional		$745.83	$857.70	$1,118.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,218.40 / $2,218.40 / $2,218.40	Facility		$2,218.40	$2,218.40	$2,218.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $775.61 / $1,081.05 / $1,831.41	Professional		$775.61	$1,081.05	$1,831.41
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,025.00 / $11,038.00	Facility		$3,932.00	$8,025.00	$11,038.00
United Facility/Professional Professional Modifier Low / Median / High Price $784.12 / $976.91 / $1,651.71	Professional		$784.12	$976.91	$1,651.71